Biomechanics of Posterior Spinal Instrumentation

  • S.-I. Suk
  • W.-J. Kim
Chapter

Abstract

The main purposes of spinal instrumentation are restoration of stability in an inherently unstable or surgically destabilized spine, and correction and maintenance of spinal deformities via forces effected by the instrumentation [1–6]. Spinal instrumentation may be, at large, divided into anterior instrumentation and posterior instrumentation by the element of the vertebral body utilized to fix the implant to the vertebral column. Those fixing the anterior column (usually the vertebral body proper) are considered anterior instrumentation while those fixing the structures of the posterior column (lamina, facets, pedicles) are considered posterior instrumentation.

Keywords

Titanium Torque Immobilization Eter Settling 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Abumi K, Panjabi MM, Duranceau J. Biomechanical evaluation of spinal fixation devices. Part III. Stability provided by six spinal fixation devices and interbody bone graft. Spine 1989;14:1249.PubMedCrossRefGoogle Scholar
  2. 2.
    Ashman RB, Galpin RD, Corin JD, Johnston CE 2nd. Biomechanical analysis of pedicle screw instrumentation systems in a corpectomy model. Spine 1989;14:1398.PubMedCrossRefGoogle Scholar
  3. 3.
    Cotrel Y, Dubousset J, Guillaumat M. New universal instrumentation in spinal surgery. Clin Orthop 1988; 227:10.PubMedGoogle Scholar
  4. 4.
    Harrington PR. Treatment of scoliosis: correction and internal fixation by spine instrumentation. J Bone Joint Surg 1962;44-A:591.PubMedGoogle Scholar
  5. 5.
    Luque ER. The anatomic basis and development of segmental spinal instrumentation. Spine 1982;7:256.PubMedCrossRefGoogle Scholar
  6. 6.
    Suk SI, Lee CK, Kim WJ, Chung YJ, Park YB. Segmental pedicle serew fixation in the treatment of thoracic idiopathic scoliosis. Spine 1995;20:1399.PubMedGoogle Scholar
  7. 7.
    Lenke LG. Posterior and Posterolateral Approaches to the Spine. In: Bridwell KH, Dewald RL, editors. The Textbook of Spinal Surgery, 2nd ed. Philadelphia: Lippincott-Raven, 1997:193.Google Scholar
  8. 8.
    Benzei EC. Biomechanics of Spine Stabilization. Principles and Clinical Practice. New York: McGraw-Hill, 1995.Google Scholar
  9. 9.
    Rudisch A, Kremser C, Peer S, Kathrein A, Judmaier W, Daniaux H. Metallic artifacts in magnetic resonance imaging of patients with spinal fusion. A comparison of implant materials and imaging sequences. Spine 1998;23:692.PubMedCrossRefGoogle Scholar
  10. 10.
    Garfin SR. Spinal fusion: The use of bone screws in the vertebral pedicles. Summation. Spine 1994;19:2300S.CrossRefGoogle Scholar
  11. 11.
    Zuk SI, Kim WJ, Lee SM, Kim JH, Chung ER. Thoracic pedicle screw fixation in spinal deformities: are they really safe? Spine 2001;26:2049.CrossRefGoogle Scholar
  12. 12.
    Nazarian SM, Louis RP. Posterior internal fixation with screw plates in traumatic lesions of the cervical spine. Spine 1991;16:S64.PubMedCrossRefGoogle Scholar
  13. 13.
    Licht NJ, Rowe DE, Ross LM. Pitfalls of pedicle screw fixation in the sacrum. A cadaver model. Spine 1992; 17: 892.PubMedCrossRefGoogle Scholar
  14. 14.
    Lonstein JE. The Galveston technique using Luque or Cotrel-Dubousset rods. Orthop Clin North Am 1994;25: 311.PubMedGoogle Scholar
  15. 15.
    Suk SI, Lee CK, Min HJ, Cho KH, Oh JH. Comparison of Cotrel-Dubousset pedicle screws and hooks in the treatment of idiopathic scoliosis. Int Orthop 1994; 18: 341.PubMedCrossRefGoogle Scholar
  16. 16.
    Skinner R, Maybee J, Transfeldt E, Venter R, Chalmers W. Experimental pull-out testing and comparison of variables in transpedicular screw fixation. A biomechanical study. Spine 1990; 15:195.PubMedCrossRefGoogle Scholar
  17. 17.
    Suk SI, Cha SI, Lee Ck, Kim WJ. A study on the pull-out strength of pedicle screws in relation to the size of drill holes and inserted screws. Presented at the 30th Annual Meeting of the Scoliosis Research Society, Asheville, NC, September 13–16,1995.Google Scholar
  18. 18.
    Kwok AW, Finkelstein JA, Woodside T, Hearn TC, Hu RW. Insertional torque and pull-out strengths of conical and cylindrical pedicle screws in cadaveric bone. Spine 1996;21:2429.PubMedCrossRefGoogle Scholar
  19. 19.
    Yerby SA, Ehteshami JR, McLain RF. Loading of pedicle screws within the vertebra. J Biomech 1997;30: 951.PubMedCrossRefGoogle Scholar
  20. 20.
    Schufflebarger HL. Moss Miami Instrumentation. In: Bridwell KH, Dewald RL, editors. The Textbook of Spinal Surgery, 2nd ed. Philadelphia: Lippincott-Raven, 1997:675.Google Scholar
  21. 21.
    Lim TH, Eck JC, An HS, Hong JH, Ahn JY, You JW. Biomechanics of transfixation in pedicle screw instrumentation. Spine 1996;21:2224.PubMedCrossRefGoogle Scholar
  22. 22.
    Ritterbusch JF, Ashman RB, Roach JW Biomechanical comparison of spinal instrumentation systems. Orthop Trans 1987;11:87.Google Scholar
  23. 23.
    Cunningham BW, Sefter JC, Shono Y, McAfee PC. Static and cyclical biomechanical analysis of pedicle screw spinal constructs. Spine 1993; 18:1677.PubMedCrossRefGoogle Scholar
  24. 24.
    McCormack T, Karaikovic E, Gaines RW. The load-sharing classification of spine fractures. Spine 1994; 19:1741.PubMedCrossRefGoogle Scholar
  25. 25.
    Zou D, Yoo JU, Edwards WT, Donovan DM, Chang KW, Bayley JC et al. Mechanics of anatomic reduction of thoracolumbar burst fractures. Comparison of distraction versus distraction plus lordosis in the anatomic reduction of the thoracolumbar burst fracture. Spine 1993; 18:195.PubMedCrossRefGoogle Scholar
  26. 26.
    Cotrel Y, Dubousset J. A new technique of spine fixation by a posterior approach in the treatment of scoliosis. Rev Chir Othop 1987;70:489.Google Scholar
  27. 27.
    Denis F. Cotrel-Dubousset instrumentation in the treatment of idiopathic scoliosis. Orthop Clin North Am 1988;19:291.PubMedGoogle Scholar
  28. 28.
    Sanders JO, Sanders AE, More R, Ashman RB. A preliminary investigation of shape memory alloys in the surgical correction of scoliosis. Spine 1993; 18: 1640.PubMedCrossRefGoogle Scholar
  29. 29.
    Denis F. The three-column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 1983;8:817.PubMedCrossRefGoogle Scholar
  30. 30.
    Denis F. Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop 1984; 189:65.PubMedGoogle Scholar
  31. 31.
    Bradford DS, Tribus CB. Current concepts and management of patients with fixed decompensated spinal deformity. Clin Orthop 1994;306:64.PubMedGoogle Scholar
  32. 32.
    Suk SI, Kim JH, Kim WJ, Lee SM, Chung ER, Nah KH. Posterior vertebral column resection for severe spinal deformities. Spine. 2002;27:2374.Google Scholar

Copyright information

© Springer-Verlag London 2004

Authors and Affiliations

  • S.-I. Suk
  • W.-J. Kim

There are no affiliations available

Personalised recommendations